1912032574 NPI number — DR. SARA FARQUHAR VOORHEES P.T., PH.D.

Table of content: DR. SARA FARQUHAR VOORHEES P.T., PH.D. (NPI 1912032574)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912032574 NPI number — DR. SARA FARQUHAR VOORHEES P.T., PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VOORHEES
Provider First Name:
SARA
Provider Middle Name:
FARQUHAR
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
P.T., PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FARQUHAR
Provider Other First Name:
SARA
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.T., PH.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1912032574
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/25/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2317 N MONROE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22207-3838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-465-2338
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2501 PARKERS LN
Provider Second Line Business Practice Location Address:
ANDERSON ORTHOPAEDIC CLINIC
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22306-3209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-769-8442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  J1-0001806 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 2305205622 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2305205622 . This is a "COMMONWEALTH OF VIRGINIA PT LICENSE NUMBER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 151628 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 25090096 . This is a "BCBS OF VA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 94643802 . This is a "BCBS OF MD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: J1-0001806 . This is a "PHYSICAL THERAPY LICENSE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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